HomeMy WebLinkAboutNorthwood LLC ELIZABETH A. NEVILLE MMCF a7 Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax(631)765-6145
MARRIAGE OFFICER ° Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ���i www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICERrw 10
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: February 28, 2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4702 for a Cesspool/Septic Tank Construction
Permit submitted by:
Hampton Modular LLC for Lot 13 Northwood LLC
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
........ ............
Signature
.................. .�
Dated
` /
ELIZABETH A. NEVILLE ` , Town Hall,63096 Main Roa"
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Cry
MARRIAGE OFFICER ,1 Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER + � x Telephone(631)765-1800
FR EEDOivi OF INFORMATION OFFICERJ, southoldtown.northfork.nef
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residdntial 10 Application No. 2 !o 0013 r Non-Residential @$25 .
Permit No_ 1- 'r 02
. APPlicant Name ��� � �'�"�°� ��" " � ' �.� �e� .....,, "
Applicatlt Mailing A�dre
drvl-�ry"Septic .
Brief l'a cription o Pro Zor �aool
`on or A�;tera..ton 11
�'� _.m.
Proposed Conatxctl Al
Location of Proposed Constr ctioli/Alteration
Owner of Property:12L
Owner Mailing Address:'.. ....... � 1
Owner Property Address: � W:��
4.
Name and phone number of contact iaerson
Tax Map No: Section n 7—) Block Lot
Cross Street
NOTE: LOCATION MAY r4UST'BE SUB ��°tiTTJ D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SU�.N�'�U't rmAII�,L�I�4ENTAPPROVAL
Ig1 rye D ie
t'
Received by: S)
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/28/19 Receipt#: 251797
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct. - Resid. � 4702 $10.00
p
ti �
Total Paid: $10.00
Notes:
Payment Type Amount Paid By
Credit Card-Ref# $10.00 Hampton, Modular Llc
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Hampton, Modular Llc
Po Box 866
Bridgehampton, NY 11932
Clerk ID: JENNIFER Internal ID:4702
PLOT PLAN OF
LOT 13
S MAP OF
a Grab ,4AQ NORTHWOOD ESTATES
OF - '` FILE No. 5675 FILED FEBRUARY 17, 1972
D ANY a wvC ,oEi € SITUATE
SOUTHOLD
WELL ERIN
O 150' ?A yoNl� M TOWN OF SOUTHOLD
\AdAN 241ml__ ii,
f SUFFOLK COUNTY, NEW YORK
EXISnNG *-4 I t . �=- ! S.C. TAX No. 1000-54-02-04
JUJ c } ( _� �? DECEMBER t, 2078
SCALE 1 40_ 50" " �� tE . t� AREA = 47,861 sq. ft.
DWELLING 60' sd ! .x.. E X. - ES1.099 OC.
_ € WELL k SEPTIC OVER 15D'
La �' � )
'-!{{ m � �q C /) I
S 1 P v
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEOSCtENCE ON FEBRUARY 9,2001)
��,- 7 )YOT6S: EL 48.5' 0'
1.ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM DARK BROWN SANDY LOAM OL
EXIST No ELEVATIONS ARE SHOWN THUS: 1•
NO WELLS WITHIN 15' -,_m' t 2.MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,250 GALLONS.
i TANK;S'DIA.4'LIQUID DEPTH BROWN LOAMY SAND SM
3.MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE 15 300 aq ft SIDEWALL AREA.
U I POOL;-12'DEEP,B'dia. 4'
BROWN FINE TO COARSE SAND
¢ d O
PROPOSED EXPANSION POOL WITH MIXED GRAVEL SW
A4 v a PROPOSED LEACHING POOL 9'
1—.SED SEPTIC TANK BROWN CLAYEY SAND WITH MIXED GRAVEL
4.THE LOCATION Of WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA MMHED FROM OTHERS. 13'
5.THERE ARE NO OPEN WATERS OR WETLANDS WITHIN ISO'OF SUBJECT PROPERTY.
BROWN FINE TO COARSE SAND SW
EL 2§.5' 19'
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{• i - - `_ +t PROVIDE(i)a dia.X 6'nigh STORM DRAIN POOL WITH OPEN GRATE HIGHEST EXPECTED GROUND WATER
t ROOF AREA:]R2 eq.ft. TEST WELL No._LS@S 99035§per&II3Qi 5 167801
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COPIES OF 195 SURAEf ANP NOT BEMINO Land Surveyor
O O R, "RIE"M BDRAETTJR'S IMI®SEM.OR
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O EMBO'aSED SEAL SHALL NOT H
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DWELLING
DWEWNG CERIIFICAI.TNS INDICATED HEREON SWJL RUN Successor To:Stanty A J.Ia,A- Jr.LS.
p r - ONLY TD THE PERSON FOR WHOM THE SURVEY J..aph In9eg-LS.
G IS RREPA,AND ON HIS BENAI TO THE
FREEING INSRtIRI�uSR4 HFRk'0 iK' D Me Survey.-SRb F&ko - Site Pk-- ConanuciloR La ,,t
TO TME ASSWNEES OF THE URNWK IN-- PHONE(631)727-2090 Fax(631)727-1727
11100N CE HOO.IOHR ME RE,TRIJSFBNBIE
THE EXISTENCE OF RIGHT OF WAYS OFFICES LIXATED AT MAILING ADDRESS
THE EXI TENCESASCEOF IG RECORD,S 1506 Main Reed P.O.Boz i6
ANDANY,NETT SHOWN ARE NOT QUARANTEW. Janxsport,New YoH1 11947 JameapoH,New Yark 11947